Individual provider Active NPI

Lacey Denton, CRNA

  • Certified Registered Nurse Anesthetist
  • Vestavia, AL
National Provider Identifier
1154772226
Registry record updated Jun 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
1-131310 Issued in AL
Practice address
3104 Blue Lake Dr
Suite 110
Vestavia, AL 35243-2345
Phone
(334) 247-8769
Fax
(334) 377-4417
NPI assigned
Jun 29, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 1-131310 AL Primary

Addresses

Primary practice location

3104 Blue Lake Dr
Suite 110
Vestavia, AL 35243-2345

Mailing address

PO Box 830550
Birmingham, AL 35283-0550
Phone (334) 247-8769

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160729001499 AL Practitioner - Certified Registered Nurse Anesthetist (Crna) 9739472606 Reassigns benefits to 6 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1-131310ALMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesiologists Associated PC CurrentSince Jul 8, 2016 Accepting new patients
University of Alabama Health Services Foundation, PC. CurrentSince May 1, 2019 Accepting new patients
Gastroenterology Associates of North-Central Alabama Inc Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2018 Accepting new patients
Hospitalist Medicine Physicians of Alabama-TCS Inc Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2022 Accepting new patients
Anesthesiologists Associated PC Nurse Anesthetist, Certified Registered CurrentSince Jul 8, 2016 Accepting new patients
Blue Lake Health Alabama, LLC CurrentSince Aug 1, 2024 Accepting new patients
Birmingham Gastroenterology Associates PC Current Accepting new patients
Birmingham Gastroenterology Associates PC Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2018 Accepting new patients
Gastroenterology Associates of North-Central Alabama Inc Current Accepting new patients

Locations

619 19th St S
Birmingham, AL 35249

2010 Brookwood Medical Ctr Dr
#G100
Birmingham, AL 35209

701 Princeton Ave SW
Birmingham, AL 35211
Phone (205) 279-2860

52 Medical Park Dr E
Ste 401
Birmingham, AL 35235
Phone (205) 838-3524

513 Brookwood Blvd
Ste 401
Birmingham, AL 35209
Phone (205) 663-1023

2010 Brookwood Medical Ctr Dr
Ste G100
Birmingham, AL 35209
Phone (205) 523-4342

103 Helton Ct
Florence, AL 35630
Phone (256) 389-8228

200 Medical Center Dr SW
Fort Payne, AL 35968
Phone (256) 845-3150

1 Independence Plz
Ste 900
Homewood, AL 35209
Phone (205) 879-7953

2637 Valleydale Rd
#200
Hoover, AL 35244

7191 Cahaba Valley Rd
Ste 206
Hoover, AL 35242
Phone (205) 408-6421

3104 Blue Lake Dr
Ste 110
Vestavia, AL 35243
Phone (205) 783-3000

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1467158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467158400000",
    "number": "1154772226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 830550",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352830550",
            "telephone_number": "334-247-8769",
            "fax_number": "334-377-4417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3104 BLUE LAKE DR",
            "address_2": "SUITE 110",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "352432345",
            "telephone_number": "334-247-8769",
            "fax_number": "334-377-4417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENTON",
        "first_name": "LACEY",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-29",
        "last_updated": "2016-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AL",
            "license": "1-131310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vestavia, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.